Transforming Episode Accountability Model (TEAM) is a mandatory episode-based payment model for acute care hospitals in five surgical specialties starting January 1, 2026, says HSBlox operations chief Lynn Carroll.

Hospitals across the U.S. are seeing both higher revenues and higher expenses, and operating margins have begun to contract slightly, according to March data published by Strata. 

The United States has filed a complaint against Aetna, Elevance and Humana  for allegedly paying millions of dollars in kickbacks to insurance brokers  eHealth, GoHealth and SelectQuote.  The brokers allegedly directed Medicare beneficiaries to the plans that paid them the most in kickbacks regardless of the suitability of the plans for the beneficiaries, according to […]

Residents and fellows are being taught through precise, right-to-the-point responses built by algorithms, says Dr. R. Ryan Sadeghian, pediatrician and University of Toledo CMIO.  

CVS Health has seen profit and revenue grow over the past year, logging $1.8 billion in profit for the first quarter of the year, and $94.6 billion in revenue (compared to $1.1 billion and $88.4 billion in Q1 2024, respectively). But the company’s insurance arm, Aetna, is struggling, and will exit the Affordable Care Act […]